Doctor Name: | JANET SUE MCLANE-LI |
NPI Number: | 1053473876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2004035019 |
Business Practice Address: | 686 Lester St Poplar Bluff, MO - 639015025 |
Business Phone Number: | 5736862411 |
Business Fax Number: | |
Mailing Address: | 9929 Highway 60 W, POPLAR BLUFF |
State: | MO |
Postal Code: | 639011977 |
Phone Number: | 5737851827 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2004035019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |